Electrical surgical instrument with knife return

• US 9,675,348 B2
• Filed: 05/08/2013
• Issued: 06/13/2017
• Est. Priority Date: 05/19/2006
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Bales, Jr., Thomas O., Smith, Kevin W., Deville, Derek Dee, Rivera, Carlos, Palmer, Matthew A.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US13/889,931
• Publication Number:
  US 20130248581A1
• Time in Patent Office: 1,497 Days
• Field of Search: 227 19, 2271751, 2271761, 2271801, 2271752, 606139, 606153, 606213, 606219
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/1114 of the digestive tract, e.g. bowels or oesophagus
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2090/032 pressure limiting, e.g. hydrostatic
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

Electrically operated surgical instrument, comprising a handle having a power supply; a drive assembly having an electrical motor, a controller electrically connected to the power supply and motor, and a drive part selectively moved by the motor between a fully extended position and a fully retracted position; and a control assembly operably connected to the motor to control a rotation of the motor; an end effector having a tissue-cutting assembly comprising: a blade connected to the drive part to move between opposing compression surfaces over the course of a blade stroke to cut tissue compressed between the compression surfaces, the blade stroke being comprised of the drive part advancing the blade towards the tissue to an extended position and retreating proximally to a retracted position, the control assembly being operable to selectively cause the motor to automatically retreat the drive part to place the blade in the retracted position.

Claims

1. An electrically operated surgical instrument, comprising:

a handle having;

a power supply;

a drive assembly having;

an electrically powered motor;

a controller electrically connected to the power supply and to the motor and selectively operating the motor; and

a drive part selectively moved by the motor between a fully extended position and a fully retracted position upon actuation of the motor; and

a switch assembly operably connected to the motor to control a direction of rotation of the motor and operably connected to the controller to control power supplied to the motor;

a surgical end effector connected to the handle and having;

a pair of opposing compression surfaces, at least one of the pair of opposing compression surfaces being operable to move with respect to the other of the pair of opposing compression surfaces to apply a compressive force to tissue therebetween; and

a tissue-cutting assembly comprising;

a blade moving with the drive part to pass between the opposing compression surfaces over the course of a blade stroke and thereby cut tissue compressed between the pair of compression surfaces, the blade stroke being comprised of the drive part advancing the blade distally towards the tissue to an extended position of the blade and retreating the blade proximally to a retracted position of the blade; and

the switch assembly being operable to, upon advancement of the drive part to the fully extended position, cause the motor to automatically retreat the drive part to place the blade in the retracted position of the blade.

2. The instrument according to claim 1, wherein the switch assembly is operable to selectively cause the motor to automatically retreat the drive part to the fully retracted position and stop at the fully retracted position.

3. The instrument according to claim 1, wherein the power supply is a removable battery pack containing at least one battery.

4. The instrument according to claim 1, wherein:

the first of the pair of opposing compression surfaces is an anvil having a staple-forming surface; and

the second of the pair of opposing compression surfaces is a surgical staple cartridge assembly operable to eject at least one surgical staple contained therein opposite the staple-forming surface of the anvil.

5. The instrument according to claim 4, wherein:

the surgical staple cartridge assembly has a staple-ejecting surface;

a distance between the staple-forming surface of the anvil and the staple-ejecting surface of the surgical staple cartridge assembly defines an anvil-cartridge gap; and

the handle further comprises an anvil control assembly having;

a second electrically powered motor electrically connected to the controller and selectively operated by the controller;

a drive rod selectively moved by the second motor to advance the anvil distally towards the surgical staple cartridge assembly and to retract the anvil proximally away from the surgical staple cartridge assembly between a proximal-most position and a distal-most position when driven by the second motor;

a first anvil switch operably disposed to switch when the drive rod is at the proximal-most position;

a second anvil switch operably disposed to switch when the drive rod is at the distal-most position;

a third anvil switch operably disposed to switch when the drive rod is at an intermediate position between the proximal-most and distal-most positions of the drive rod; and

a fourth anvil switch operably disposed to switch then the drive rod is at a staple-fire ready position between the intermediate position and the distal-most position of the drive rod.

6. The instrument according to claim 5, wherein the intermediate position of the drive rod corresponds to placement of the anvil with respect to the surgical staple cartridge assembly for which the anvil-cartridge gap is within a safe staple firing range.

7. The instrument according to claim 6, wherein the safe staple firing range of the anvil-cartridge gap is approximately 1 centimeter.

8. The instrument according to claim 5, wherein advancement of the drive rod distally to:

the intermediate position activates the third anvil switch, at which point the anvil-cartridge gap is within a safe staple firing range;

the staple-fire ready position activates the fourth anvil switch, at which point at least one staple of the surgical staple cartridge assembly is permitted to be fired by the surgical staple cartridge assembly; and

the distal-most position activates the second anvil switch, at which point the anvil-cartridge gap is no longer within a safe staple firing range and power is removed from the motor to prevent any further staple firing by the staple-firing and tissue-cutting assembly.

9. The instrument according to claim 5, wherein retraction of the drive rod proximally to the proximal-most position activates the first anvil switch to remove power from the motor and to stop any further proximal movement of the drive rod.

10. The instrument according to claim 5, wherein the controller selectively operates at least one of the motor and second motor using pulse modulation.

11. The instrument according to claim 1, wherein the switch assembly comprises:

a first switch operably disposed to switch when the drive part is at the fully retracted position; and

a second switch operably disposed to switch when the drive part is at the fully extended position.

12. The instrument according to claim 11, wherein the second switch, when switched due to advancement of the drive part to the fully extended position, causes the motor to automatically retract the drive part backwards from the fully extended position.

13. The instrument according to claim 12, wherein:

the second switch, when switched due to advancement of the drive part to the fully extended position, causes the motor to automatically retract the drive part backwards to the fully retracted position; and

the first switch, when switched due to retraction of the drive part to the fully retracted position after having reached the fully extended position, causes the control assembly to remove power from the motor and stop any further movement of the drive part towards the fully extended position.

14. The instrument according to claim 12, wherein:

the tissue-cutting assembly is a staple-firing and tissue-cutting assembly comprising a surgical staple cartridge containing surgical staples operatively connected to at least one of the blade and the drive part; and

activation of the second switch by the drive part at the fully extended position operates to stop further staple firing by the staple-firing and tissue-cutting assembly.

15. An electrically operated surgical instrument, comprising:

a handle having;

a power supply;

a drive assembly having;

an electrically powered motor;

a controller electrically connected to the power supply and to the motor and selectively operating the motor; and

a drive part selectively moved by the motor between a fully extended position and a fully retracted position upon actuation of the motor; and

a control assembly operably connected to the motor to control a direction of rotation of the motor and operably connected to the controller to control power supplied to the motor;

a surgical end effector connected to the handle and having;

a pair of opposing compression surfaces, at least one of the pair of opposing compression surfaces being operable to move with respect to the other of the pair of opposing compression surfaces to apply a compressive force to tissue therebetween; and

a tissue-cutting assembly comprising;

a blade connected to the drive part to pass between the opposing compression surfaces over the course of a blade stroke and thereby cut tissue compressed between the pair of compression surfaces, the blade stroke being comprised of the drive part advancing the blade distally towards the tissue to an extended position of the blade and retreating proximally to a retracted position of the blade; and

the control assembly being operable to cause the motor to automatically retreat the drive part to place the blade in the retracted position of the blade and, thereafter, automatically remove power from the motor to stop any further proximal movement of the drive part.